Individual
ASHLEY LAUREN MINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-2334
(408) 885-6991
Mailing address
6524 STONEHILL CT, SAN JOSE, CA 95120-1614
(408) 314-4110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21452
CA
Other
Enumeration date
02/26/2011
Last updated
02/26/2011
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